OCTOBER 15, 2007
VOLUME 4 NO. 17

PATIENTS & PRACTICE
IVF Special Section

Reporter at large:
Medical ethicists pilloried at IVF conference



Dr Robert Edwards

Steps from the bustle of downtown Montreal, the halls of the grand Fairmont Queen Elizabeth were buzzing with IVF's best and brightest for ISIVF 2007.

Delegates kicked back on plush lounge sofas, hoping to catch a glimpse of IVF's big names. Hands-down the most enviable conversational companion present was none other than Dr Robert Edwards, the Briton who pioneered the world's first IVF pregnancy almost 30 years ago.

At the scientific sessions, frequently enveloped in an impenetrable fog of technical jargon, IVF gurus regaled audience members and fellow panellists alike with tales of maximizing take-home baby rates and berated them for failing to avoid the many pitfalls of oocyte retrieval, fertilization and implantation.


Dr Timothy Krahn

Then medical ethics paid a visit. The ethicists, mostly made up of eggheads from the softer science disciplines, championed caution and self-reflection. To the many IVF cowboys and girls present, they were a laundry basket full of wet blankets. Still others were a strange subspecies of firebrand moralists, questioning the very principles of assisted reproduction. I preferred the latter for sheer entertainment value.

Dalhousie ethics wonk Dr Timothy Krahn ruffled feathers in his quiet, bookish way. Dr Krahn is worried that genetic diagnoses of illness in embryos could eventually lead to a class of designer baby Übermenschen.

His talk ended in a shouting match masquerading as a Q&A. One MD accused Dr Krahn of preferring to see children suffer from diseases like cystic fibrosis than to benefit from PGD technologies. That brought a prompt end to the session and left Dr Krahn floundering like an oxygen-deprived carp at the podium.


Dr Margaret Somerville

But this was merely a sideshow compared to McGill prof Dr Margaret Somerville's talk. The Aussie-reared professor of medicine and law's unassuming demeanour masked a steely determination to challenge everyone's accepted ideas about IVF — as well as homosexual parenting and adoption.

The central question of her provocatively entitled lecture "From Homo sapiens to Techno sapiens: do children have a human right to natural human origins?" was helpfully answered almost immediately with a firm "Yes." Dr Somerville then proceeded to baby-walk the audience through her ideas on the primacy of the "natural." Following her own logic, she reached the conclusion that IVF, by its very nature, violates a child's fundamental rights. She also tossed one of her favourite old chestnuts — that gay marriage is bad, but gay parenthood's worse — on the fire for good measure.

To Dr Somerville's credit, this talk was the only one this reporter attended where the constant shuffle of MDs checking their Blackberrys, snapping slides with their digital cameras and sneaking out for a coffee stilled for a few precious moments. Sometimes logic-defying moral abstraction in a plush setting is just what the doctor ordered. — John Stobo

 

 

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